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ABUNDANT LIFE CHIROPRACTIC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1619168499

Organizational Registrant:
Organization Name:  ABUNDANT LIFE CHIROPRACTIC
Organization is not Subpart
Authorized Official:  ANDREW THOMAS PAMER  CHIROPRACTOR  814--86-61933

Location and contact information for practice:
9070 PEACH ST SUITE #1 WATERFORD, PA 16441-4078 US
Tel: 814-866-1933  Fax: 814-866-1934

Contact information for business:
9070 PEACH ST SUITE #1 WATERFORD, PA 16441-4078 US
Tel: 814-866-1933  Fax: 814-866-1934

Registration Information:
NPI: 1619168499
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
PADC8650

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1014200490001PA05




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